Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jenise Elaine Tidd, LICDC-CS

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1447765821

Jenise Elaine Tidd, LICDC-CS is an Addiction (Substance Use Disorder) Counselor in Dayton, Ohio. Licensed in Ohio. Registered with an NPI since 2017.

Licensed in
OH
In the registry since
2017
Specialties on file
3
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Practice location Address checks out

865 S Patterson Blvd
Dayton, OH 45402-2624
Phone: (937) 966-4673
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence LICDC.161533 (OH)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 161533 (OH)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X

Record details

NPI number1447765821
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICDC-CS
Sole proprietorNo
NPI enumeratedDecember 7, 2017
Last updated in NPPESFebruary 16, 2024
Certification dateFebruary 16, 2024

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